A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The pur po se of this syste ma tic re vi ew was to de ter mi ne whet her physi ot he rapy was ef fec ti ve in im pro ving ba lan ce and ga it in pa ti ents with mul tip le scle ro sis (MS). M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : Me di cally stab le MS pa ti ents abo ve the age of 18 ye ars who we re di ag no sed by a ne u ro lo gist and had ba lan ce and/or ga it prob lems we re inc lu ded in this study. The stu di es in vol ving all types of physi ot he rapy ap pro ac hes (i.e. func ti o nal exer ci se, re sis ti ve exer ci se, tre ad mill tra i ning, physi cal the rapy using tra i ning with equ ip ment, elec trot he rapy) we re in cor po ra ted and in ter pre ted in this syste ma tic re vi ew. R Re e s su ul lt ts s: : Nine ran do mi zed con trol led tri als (RCTs) met the inc lu si on cri te ri a. Thre e stu di es inc lu ded ne u roph ysio lo gi cal ap pro ac hes, thre e stu di es per for med re sis ti ve exer ci ses, one study used tre ad mill tra i ning, one study used elec trot he rapy and one study used pres su re splint app li ca ti on in the ir the rapy pro to cols. Amongst the physi ot he rapy met hods, strong evi den ce was suggested that ne u roph ysi o lo gi cal ap pro ac hes were ef fec ti ve in im pro ving ga it (func ti o nal and tem po ral-spa ti al ga it pa ra me ters), as well as sta tic ba lance and, mo de ra te evi den ce was fo und for im pro ving dyna mic ba lan ce. Conf lic ting evi den ce was fo und for the ef fects of ot her physi ot he rapy met hods (i.e. re sis ti ve exer ci ses, tre ad mill tra i ning, who le-body vib rati on and pres su re splint app li ca ti on) in the im pro ve ment of ba lan ce and ga it in pa ti ents with MS. C Co on nc c --l lu u s si i o on n: : This syste ma tic re vi ew re ve a led that physi ot he rapy in ter ven ti ons, par ti cu larly ne u roph ysi o lo gi cal ap pro ac hes and in so me ex tend re sis ti ve exer ci ses, tre ad mill tra i ning, who le-body vib ra ti on and pres su re splint app li ca ti on can be ef fec ti ve in im pro ving ba lan ce and ga it in pa ti ents with MS. No ne of the RCTs inc lu ded in this study de fi ned any det ri men tal chan ges af ter physi ot he rapy in ter ven ti ons. Ho we ver, currently the pro ofs are not con vin cing to draw an evi den ce-ba sed prog ram in the tre at ment of ba lan ce and ga it prob lems in patients with MS. K Ke ey y W Wo or rd ds s: : Mul tip le scle ro sis; pos tu ral ba lan ce; ga it; physi cal the rapy mo da li ti es Ö ÖZ ZE ET T A Am ma aç ç: : Bu sis te ma tik der le me nin ama cı fiz yo te ra pi nin mu tipl skle roz (MS) has ta la rın da den ge ve yü rü yü şün ge liş ti ril me si üze rin de et ki li olup ol ma dı ğı nı be lir le mek tir. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : On se kiz ya -şı nın üze rin de, nö ro log ta ra fın dan MS ta nı sı kon muş, me di kal ola rak du ru mu sa bit olan ve den ge ve/veya yü rü yüş prob lem le ri olan has ta lar bu ça lış ma da yer al dı. Tüm fiz yo te ra ...